White House, lawmakers adrift over reviving health bill

Wednesday

Apr 5, 2017 at 11:30 AM

The Trump administration and congressional Republicans remained adrift Wednesday over their uphill drive to exhume the GOP health care bill, with no signs of movement toward reshaping a measure that could win enough votes for House approval.

Associated Press

WASHINGTON — The Trump administration and congressional Republicans remained adrift Wednesday over their uphill drive to exhume the GOP health care bill, with no signs of movement toward reshaping a measure that could win enough votes for House approval.

White House officials and leading legislators said they planned to resume their hunt for common ground between conservatives and moderates. A late Tuesday meeting at the Capitol involving Vice President Mike Pence and about two dozen lawmakers produced no agreement over a White House proposal to let states seek federal waivers to drop coverage mandates that President Barack Obama's health care law slapped on the insurance industry.

"The tide seems to have subsided a bit," said Rep. Mark Sanford, R-S.C., a member of the hard-line House Freedom Caucus. Many of its roughly three dozen conservative members have opposed the Republican health care legislation for not doing enough to annul Obama's 2010 law.

Sanford did not attend the Tuesday night meeting but said, "There was not concurrence on where the left and the right in the conference are on the bill."

Rep. Diane Black, R-Tenn., said she is encouraged because "I think two sides talking to one another gives me optimism." Black chairs the House Budget Committee and was at Tuesday's meeting,

The White House offer got an uneven reception Tuesday from GOP moderates and conservatives, leaving prospects shaky that the party could salvage one of its leading legislative priorities. There was no evidence that the proposal won over any of the GOP opponents who humiliated President Donald Trump and House leaders on March 24, forcing them to cancel a planned vote on a Republican health care bill that was destined to lose.

"We want to make sure that when we go, we have the votes to pass this bill," House Speaker Paul Ryan, R-Wis., told reporters. He said talks were in "the conceptual stage."

Later Tuesday, Rep. Steve Scalise, R-La., his party's chief vote counter, said discussions were not "where there is consensus" on health care and indicated a vote this week was unlikely. Congress leaves town in days for a two-week recess, when lawmakers could face antagonistic grilling from voters at town hall meetings and the entire GOP drive might lose momentum.

Under the White House proposal, states could apply for a federal waiver from a provision in Obama's law that obliges insurers to cover "essential health benefits," including mental health, maternity and substance abuse services. The current version of the GOP legislation would erase that coverage requirement but let states reimpose it themselves, language that is opposed by many of the party's moderates.

In addition, the White House would let states seek an exemption to the law's provision banning insurers from charging higher premiums for seriously ill people. Conservatives have argued that such restrictions inflate consumer costs, but supporters say it makes coverage accessible for those with costly medical conditions.

Some members of the Freedom Caucus were showing signs of accepting less than many originally wanted. Meadows said talks were boiling down to curbing several of Obama's coverage requirements — a sharp contrast to the full repeal of the statute that many initially demanded.

"It perhaps is as much of a repeal as we can get done," the caucus leader, Rep. Mark Meadows, R-N.C., told reporters.

A poll by the nonpartisan Kaiser Family Foundation flashed a warning for the White House, showing that 3 in 4 Americans want the Trump administration to make Obama's law work.

About 2 in 3 said they were glad the House GOP bill didn't pass last month. But people split evenly between wanting to keep or repeal Obama's statute.

The underlying House Republican bill would repeal much of Obama's 2010 law. It would erase its tax fines for consumers who don't buy policies, federal aid to help many afford coverage and Medicaid expansion for additional poor people.

Instead, opponents of the current measure say they want tax subsidies for health care to less generous than under Obama's program for many lower wage-earners and people in their 50s and 60s. They also would cut the Medicaid program and tax increases on higher earners would be eliminated. Consumers who let coverage lapse would face 30 percent premium hikes.

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